![]() ![]() ![]() LaMothe JM, Al Sayegh S, Parsons DL, Ferri-de-Barros F (2015) The use of intraoperative traction in pediatric scoliosis surgery: a systematic review. Eur Spine J 26:1810–1816īao H, Yan P, Bao M, Qiu Y, Zhu Z, Liu Z, Cheng J, Ng BK, Zhu F (2016) Halo-gravity traction combined with assisted ventilation: an effective pre-operative management for severe adult scoliosis complicated with respiratory dysfunction. Yang C, Wang H, Zheng Z, Zhang Z, Wang J, Liu H, Kim YJ, Cho S (2017) Halo-gravity traction in the treatment of severe spinal deformity: a systematic review and meta-analysis. Zhou C, Liu L, Song Y, Feng G, Yang X, Wang L (2018) Comparison of anterior and posterior vertebral column resection versus anterior and posterior spinal fusion for severe and rigid scoliosis. Hempfing A, Ferraris L, Koller H, Rump J, Metz-Stavenhagen P (2007) Is anterior release effective to increase flexibility in idiopathic thoracic scoliosis? Assessment by traction films. Zhou C, Liu L, Song Y, Liu H, Zeng J, Yang X (2015) Anterior release, posterior internal distraction and subsequent posterior spinal fusion for the treatment of severe kyphoscoliosis. Newton PO, Lenke LG, Boachie-Adjei O, Garg S, Sponseller PD, Shas SA, Erickson MA, Sucato DJ, Samdani AF, Yaszay B, Pahys JM, Cahil PJ, Skaggs DL, Polly DW, Sturm PF, Sides BA, Kelly MP, Gupta MC (2019) Severe adolescent idiopathic scoliosis: Which approach to choose. Results indicate that technique has the potential to reduce the necessity for HGT and high-risk 3CO for the correction of severe scoliosis. A staged protocol including internal temporary distraction with MCGR after posterior release and definitive correction resulted in large MTC-correction and restoration of trunk height. This is the first series of AIS patients that had temporary MCGR to treat severe thoracic scoliosis. 395 mm indicating an increase of > 10 cm. Spinal height T1-LIV increased from preoperative av. This kind of staged surgery achieved a correction of postop MTC to av. No patient suffered a major complication or neurologic deficit. MTC-correction and scoliosis correction index (SCI) were calculated. The spinal height from lowest instrumented vertebra (LIV) to T1 was measured. 14 days, the second surgery was performed with removal of MCGR and final correction and fusion. Patients underwent posterior instrumentation, periapical release using advanced Ponte osteotomies, segmental insertion of pedicle screws and a single MCGR. Seven patients with MTC > 100° treated with temporary MCGR were included. The authors report results with a novel technique of temporary short-term magnetically controlled growing rod (MCGR) as part of a posterior-only strategy to treat severe idiopathic major thoracic curves (MTC). Treatment options entail anterior and/or posterior release, Halo-gravity traction (HGT) and three-column osteotomies (3CO). Correction of severe idiopathic scoliosis poses surgical challenges. ![]()
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